1 year after septorhinoplasty - am I still experiencing swelling or could this be something else? (photo)

At 1 year, what you are noticing is not going to be due to residual swelling. There certainly can be subtle swelling, particularly around the tip even at this point, but this is not that. Even in the best of hands, there can be some asymmetry (particularly if there was pre-existing asymmetry) after rhinoplasty. What you are noticing is highly likely from the nasal bones not being even. This is something that can likely be improved if not corrected, but would require surgery. It may be in your best interest to discuss this with him further or see someone else for a second opinion. Best of luck.

You may indeed have some persistent nasal swelling 12 months after rhinoplasty surgery, however, there should not be a lot of swelling. In that regard, it is questionable as to whether or not you will achieve a straight nose appearance in another year. If you indeed undergo another procedure, you may have an indentation along your left nasal side wall that is contributing to the C-shaped appearance. I hope this is helpful, and I wish you well moving forward. Sincerely, Dr. Joseph

There can be some very subtle changes that occur to the nose beyond one year after a rhinoplasty. However, when concerns are apparent to both the patient and surgeon at one year, it would not be unreasonable to consider a revision/touch-up, if desired.

You may have had some additional bone formation (callus) after osteotomies, although they generally resolve in months. There could be some asymmetry in healing and bone placement after osteotomies as well.